The recording officer shall upon request issue a certificate or transcript of any criminal surety bond lien on file in his office on the following or substantially similar form, and the fee to be paid to the recording officer for such certificate or transcript shall be fifty cents, except that this fee shall not apply to state or county officers as related in section two hundred forty-nine of the lien law. The certificate or transcript shall be substantially in the following form:
No. ...... No. ..........
STUB STATE OF NEW YORK,
...... COUNTY OF
)
) ss:
) Ser. No......... I, ............................... Register of the Date of Criminal said county of .................................... Surety Bond Lien DO HEREBY CERTIFY, that a certain Criminal Surety ................ Bond Lien, bearing date the ....................... ................ day of ...........................................
Principal 19 ...., made by, ................ Principals
Surety Sureties Sections ....... and filed in this office on the ................... Blocks ......... day of ......... 19..., in Sections ............... On Land Map of Boro/ .............. Blocks ............... on the Land
County of, Map of the County of .............................. ............. and known as number ........................ Street/
Date, ........... Avenue, Boro .......................... N.Y.; the Amount of Bail, .... Deed to which Real Property was recorded on the ...
day of ............. 19 ...., in Liber ............
Page ........ of Conveyances in the office of the
Register/County Clerk of the County of ............
and was given as Bail in the amount of ............
and was filed in my office on the .................
day of ....... 19.., AND IS NOT DISCHARGED OF RECORD.
Given under my hand and Official
Seal, this ..... day of ... 19...
................Register
................Dep'y Register
N.Y. Lien Law § 249-A